American Journal of Nursing Research最新文献

{"title":"Effect of Sham Feeding on Postoperative Clinical Outcomes among Patients Undergoing Elective Abdominal and Gynecological Surgeries","authors":"N. Riad, S. Masry, W. Elwan, A. Khalil","doi":"10.12691/ajnr-7-6-23","DOIUrl":"https://doi.org/10.12691/ajnr-7-6-23","url":null,"abstract":"Sham feeding has been demonstrated to be one of the methods to increase bowel motility. Gum chewing, as an alternative to sham feeding, provides the benefits of gastrointestinal stimulation without the complications associated with feeding. Aim: to evaluate the effect of sham feeding on postoperative clinical outcomes among patients undergoing elective abdominal and gynecological surgeries. Subjects: A purposive sample including 150 patients who were admitted to the general surgical and gynecological unit for undergoing elective open abdominal surgeries such as cholecystectomy, appendectomy, hysterectomy, myomectomy. Were divided randomly into two equal groups 75 patients in each Study group (I): practice post-operative sham feeding in addition to the usual routine hospital care such as early mobilization and Control group (II): Follow the usual routine hospital care such as early mobilization only. Setting: The study was conducted at the general surgical and gynecological unit of Menoufia University Hospital. Instruments: Three instruments were utilized, I: A structured Interviewing Questionnaire, II: Postoperative Patient's Outcomes Questionnaire and III: Visual Analogue Scale (VAS). Results: Significant statistical differences existed between both groups regarding the time of resumption of gastrointestinal functions, postoperative ileus symptoms, and incidence of nausea, vomiting, pain and length of hospital stay. Conclusion: Patients who practiced chewing gum as alternative for sham feeding experience earlier return of bowel motility in terms of bowel sounds, first flatus and feeling of hunger than those patients who did not practice chewing gum. Furthermore, there was a significant reduction in pain and length of hospital stay among patients who were practice chewing gum than those who were not. Recommendations: the study recommended that: Sham feeding in a form of gum chewing should be added in the protocol of postoperative nursing care and conducting further studies for evaluating the effect of sham feeding on postoperative ileus among patients undergoing abdominal and gynecological surgeries using a larger sample and different geographical areas.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129147530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Training Program for Rural Community Health Workers about Breast Self-Examination at Assiut Governorate, Egypt","authors":"Hamida Almeldien, H. Mohamed, S. Khalaf, Walaa H. Abdalfatah","doi":"10.12691/ajnr-7-6-11","DOIUrl":"https://doi.org/10.12691/ajnr-7-6-11","url":null,"abstract":"Breast Self-Examination (BSE) has a greatest role in the early discovery of breast cancer and it is still an important screening tool for early detection of Breast Cancer (BC) in developing countries. The study aimed to: Assess the impact of training program on improving knowledge and practices of rural community health workers regarding BC and BSE. Subjects and Methods: Design: Quasi-experimental research design. Sample: A total of 74 rural community health workers recruited in this study. Tools of the study: Two tools used; Tool (I): Self-administrated questionnaire; which divided into two parts, Part (1): Included participants’ personal data, Part (2): Included questions to assess knowledge about BC and BSE. Tool (II): BSE performance checklist. Results: The participants were aged less than 20 years with university education (54.1% and 51.4% respectively); 73% of them were from rural area and 13.5% had family history of BC. There were highly statistical significant differences between total score of knowledge and practice during the three phases of the study pre, post and follow-up test p-values 0.000. Conclusion: A remarkable improvement was noticed in the participants' level of knowledge and practices during the posttest and after three months of follow-up. Recommendation: Establishment of ongoing training intervention to increase rural community health workers’ confidence and skills for teaching preventive health behaviors including BSE to larger society.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132838583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Undergraduate Nursing Student Satisfaction in Flipped Class (FC), Active Lecture Class (ALC) and Traditional Lecture Class (TLC)","authors":"H. Rawas","doi":"10.12691/ajnr-7-6-12","DOIUrl":"https://doi.org/10.12691/ajnr-7-6-12","url":null,"abstract":"Background: In recent years, different educational approaches have been broadly applied to nursing courses. However, a comparison between these approaches and assessing the students’ satisfaction has not been conducted. Aim: This study was designed to compare FC and ALC with the TLC model in teaching Medical-surgical courses to undergraduate nursing students and to assess the student response when they are asked to compare their experiences in FC, ALC, and TLC. Results: The mean age of the study participants was 22.19 ± 2.40. In terms of marital status, the differences between satisfied and unsatisfied students were significant in TLC (p=0.059). A larger number of married students preferred TLC over ALC/FC and the difference between married and unmarried was significant (p=0.036). Regarding residential status, the differences between satisfied and unsatisfied students were significant in TLC (p=0.034). A larger number of rural residents preferred FC over ALC/TLC and the difference between rural and urban residents was significant (p=0.036). In terms of previous GPA scores, the difference between the students preferring FC over ALC/TLC was significant (p=0.008), where a larger number of students preferred FC over other teaching methods. Conclusion: The student satisfaction in FLC, TLC, and ALC varies based on their social/residential statuses as well as their study habits and out of class self-study hours.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121170407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Level of Stress and Coping Strategies among Nursing Students at Damanhour University, Egypt","authors":"Abeer Madian, M. Abdelaziz, H. Ahmed","doi":"10.12691/AJNR-7-5-3","DOIUrl":"https://doi.org/10.12691/AJNR-7-5-3","url":null,"abstract":"Stress has been recognized as a 20th century disease and donates to health problems worldwide, nursing students are exposed to numerous stressors during their studies and clinical training. Determining stress and coping strategies among them will have significant consequences for the nursing career. Aims: to illustrate level of stress and identify coping strategies among nursing students at Damanhour University, Egypt. Research design: A descriptive cross-sectional study was used. Setting: the study was conducted at faculty of nursing, Damanhour University, Egypt. Subjects and methods: A systematic random sampling of 400 nursing students at academic year 2018-2019. Results: Students perceived moderate level of stress, most commonly attributed to transportations and academic. The most frequently used coping mechanism was religious and acceptance. The study found that gender and living with family are good predictors of coping strategies. Conclusion: The nursing students were exposed to moderate stress due to different stressors. In response, they frequently used different strategies for coping and recommended the need for stress management programs and the provision of suitable support.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123454078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Irritable Bowel Syndrome among Nursing Students at King Abdulaziz University, Jeddah, Saudi Arabia","authors":"A. Al-Qarni, M. Almutairi, Muna Bamatraf, R. Alharbi, S. Alsulami, Fatmah H Alsharif","doi":"10.12691/AJNR-7-5-2","DOIUrl":"https://doi.org/10.12691/AJNR-7-5-2","url":null,"abstract":"Introduction: Irritable bowel syndrome (IBS) is a common functional gastrointestinal disorder that may be triggered by enteric pathogens. Research problem: Studies show IBS syndrome is a common disorder worldwide, for example 5-20% in the United States have irritable bowel syndrome, mostly among adults with age . Materials: The questionnaire was adapted from a validated survey that was previously used. Method: A cross-sectional descriptive study was conducted among 193 undergraduate nursing students (second, third and fourth years) at King Abdul-Aziz university. Results: The results showed that 17.6% of nursing students at King Abdul-Aziz having IBS. Conclusion: The results showed that the prevalence of IBS is 17.6%. Recommendations: We recommend Screening for IBS and psychological problems and Stress management course. Also, we recommend to ministry of education to provide relaxation room for students at colleges.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116952743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of Nursing Care among School Age Children with Thalassemia as Regards Blood Transfusion and Self Concept","authors":"N. Abolwafa, A. Mohamed, A. Mohamed.","doi":"10.12691/AJNR-7-5-1","DOIUrl":"https://doi.org/10.12691/AJNR-7-5-1","url":null,"abstract":"For children with major thalassemia, lifelong blood transfusions were need hence adequate care quality is crucial. Research aim was to improve quality of nursing care among school age children with thalassemia as regards blood transfusion and self concept. Research design: quasi-experimental design has been used. Study area: The study was done in out and inpatient pediatric unit at Minia University and General Hospitals. Study participants: purposive technique consisted of two category: the first participants are all nurses (13 Minia University nurses and 7 General Hospitals, total twenty nurse) and the second participant are fifty ill school children with thalassemia. Tools: Information were gathered by: face to face interviews questionnaire, including: sociodemographic data sheet for thalassemia, knowledge sheet for nurses and routine knowledge of blood transfusion (RBTKQ) questionnaire. (2) An observational checklist for evaluating thalassemia practices by nurses. (3) Scale of patient satisfaction. (4) The clarity scale of the self-concept. Results: This study showed significant improvements in post-test nursing knowledge and practices on thalassemia and blood transfusion and improved self-concept in clients. Conclusion: After the program was applied, about thalassemia and blood transfusion now is understandable by nurses. The nurses considered the quality of nursing care and good self-concept. The research study suggested more studies to be done for improving nurses' knowledge and practices in the area of blood transfusion care and to improve the self-concept of thalassemia children.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131262110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Oral Health Knowledge and Self-care Practices of Pregnant Women in Saudi Arabia","authors":"S. Moawed, Amany S. Badawy, Samar Alotaibi, M. Alrowily","doi":"10.12691/AJNR-7-4-25","DOIUrl":"https://doi.org/10.12691/AJNR-7-4-25","url":null,"abstract":"Background. Pregnancy is a unique time in a woman's life and is characterized by complex physiological changes. These changes can adversely affect oral health. Oral health is a state of being free from chronic mouth and facial pain, oral and throat cancer, oral sores, periodontal (gum) disease, tooth decay and tooth loss, and other diseases, and disorders that affect the oral cavity. Risk factors for oral diseases include unhealthy diet, tobacco use, harmful alcohol use, and poor oral hygiene (WHO). Multiple studies have shown an association between periodontal infection and adverse pregnancy outcomes, such as premature delivery and low birth weight. Aim of this study assess women’s knowledge towards oral and dental health during pregnancy and to examine their self-care practices in relation to oral and dental health. Methodology The research will be conducted at randomly governmental primary health care centers and schools in Riyadh (Dawadmi region). A Quantitative Descriptive cross-sectional study was carried out. two-hundred Saudi pregnant women selected randomly. Women who gave informed consent were asked to complete a self-administered questionnaire and return it to the researcher A Structured questionnaire will be developed consisted of three parts, Demographic characteristics part, level of women`s Knowledge regarding oral health part & Self-care practice regard oral health care. Results, Conclusion & Recommendation. Age of participant women’s between 28 – 38 years (43.2%). Most of the participants had number of pregnancies between 4-6 (38.5 %). Regarding the level of knowledge about oral health, this study showed that 45% of mother had poor knowledge, and there is a significant relationship between the level of practice and the educational, professional status and attendance to antenatal clinic, which was started by 65% of the sample on time, however, they did not visit the dentist. This study recommends that the implementation of oral health programs in prenatal services is essential to delivery of dental care and decreasing the potential oral problems among pregnant women, as well as conducting careful screening of oral risks, and assisting women in obtaining regular dental care.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116658273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge of Some Issues Related to Preconception Health and Pregnancy among Faculty of Nursing Students, Assiut University","authors":"W. Ibrahim, S. Khalaf, Walaa H. Abdel-fatah, Shiamaa G. Hassan","doi":"10.12691/AJNR-7-4-19","DOIUrl":"https://doi.org/10.12691/AJNR-7-4-19","url":null,"abstract":"Background: Preconception health includes health of woman and man before pregnancy to reduce risks that woman may face during pregnancy and enhance fetal and maternal outcomes. This study aimed to: identify and increase knowledge of the undergraduate nursing students concerning preconception health and pregnancy. Methods: A descriptive cross-sectional study design implemented on 320 nursing students at Faculty of Nursing, Assiut University, tool divided into three parts; part one included students’ personal data, part two included eight ended questions directed to students to identify their knowledge regarding preconception health issues and part three designed to evaluate issues related to pregnancy and contained ten ended questions. Results: 38.4% and 31.6% of nursing students had good score of knowledge regarding preconception health and pregnancy respectively, there were statistical significant differences between preconception health and students’ gender, age, university grade and previous perceived obstetric course (P-values=0.013, 0.00, 0.00 and 0.00 respectively). Also, there was a relationship between score of students’ knowledge regarding pregnancy and their age, university grade and previous perceived obstetric course (P-values=0.00, 0.00 and 0.00 respectively). Conclusion: There were relationship between total score of students’ knowledge regarding preconception health and pregnancy with student’s age, university grade and previous perceived obstetric course. Recommendation: Further research should include all university students in practical versus theoretical faculties to identify how the knowledge and information gaps.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134568797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adopting Scenario Based Learning in Critical Care Nursing Education: Students’ Achievement and Feedback","authors":"H. Ahmed","doi":"10.12691/AJNR-7-4-20","DOIUrl":"https://doi.org/10.12691/AJNR-7-4-20","url":null,"abstract":"Scenario based learning (SBL) is up-to-date inventive teaching method that providing directive discussion for nursing students. Effective designed scenarios are considered the corner stone for teachers to integrate learning objectives into nursing students’ learning experience. Many studies reported that is a broad dynamic interactive teaching and learning strategy. It enhances students’ decision making skills and self-learning abilities. Aim: the current study aimed to explore fourth level nursing students’ achievement and feedback about scenario based learning at Faculty of Nursing, Mansoura University. Method: a descriptive research design was used. A total of 251 fourth level nursing students registered in critical care nursing course in the second semester of the academic year 2016-2017 were involved in the study. Two tools were used to collect data for the present study which was developed by the researcher. Tool one “Students’ Achievement Sheet” that involved eight main domains. Tool two is “Students’ Feedback about SBL” which folded 18 statements. Results: The majority of the students analyzed scenarios clearly by discovering the cues and inferences related to the scenario problem with high score ranged from good to excellent (61.25-96.25). Despite around 70% of the students’ perceived SBL as a very stressful learning method, it was exciting and enjoyable (62.7%) for them. Also, most of them (75%) agreed that the teachers were a good guide and facilitator for them. Conclusion: The findings of the current study support the argument that SBL is an effective and dynamic learning method and easy to be conducted. It enhances the nursing students’ skills and learning abilities to bridge the theory-practice gap.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129678496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Applying Health Education Learning Package for Mothers Regarding Nocturnal Enuresis","authors":"R. Mohamed, Ohoud Youssef El-Sheikh, A. Noaman","doi":"10.12691/AJNR-7-4-18","DOIUrl":"https://doi.org/10.12691/AJNR-7-4-18","url":null,"abstract":"Introduction: Nocturnal enuresis is a common distressing disorder that carries a significant burden. This disorder has psychological, social and financial implications for the families and their children. Aim: This study aimed to assess the effect of applying health education learning package (HELP) on mothers having children with nocturnal enuresis. Method: A quasi-experimental research design with repeated measures was utilized. A convenient sample of (88) mothers and their children (88) was recruited from the urinary incontinence out-patient clinic that affiliated to Mansoura University Children's Hospital (MUCH), Egypt. Seven structured tools were used for data collection. Results: There were statistically significant differences in mothers’ knowledge, practices and attitude post-application of the HELP regarding nocturnal enuresis compared to pre-application (P=0.000). Additionally, the frequency of bedwetting and urination problems as polyurea and urinary tract infection among the affected children were decreased. Conclusion: Applying of health education learning package regarding nocturnal enuresis showed a significant improvement in mothers' knowledge, practices and attitude. As well, the associated clinical manifestations among the affected children were decreased post-application of the HELP. Overall, the studied mother found the HELP is useful and effective in solving problems of the mothers and children related to nocturnal enuresis.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128392939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}